MICHELLE A HANZELY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001934

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

HANZELY

Business Name

MICHELLE A HANZELY

Original Issue Date

11/19/2002

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

CARMEL

State

Zip

46074

County

HAMILTON

Ever Disciplined

LastModifiedDate

12/19/2013